NPI | 1487640520 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH W BOWDEN CEO 207-874-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36625) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME 36344) |
261QP2000X Clinic/Center, Physical Therapy (Licence: ME 36344) | |
261QX0100X Clinic/Center, Occupational Medicine (Licence: ME 36344) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2018-02-28 |